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Laporan Kasus Case Report: Laki-Laki 48 Tahun dengan Infark Miokard Akut Munawara, Sobria Munawara; Wisudawan; Akina Maulidhany Tahir
Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran Vol. 5 No. 2 (2025): Juni
Publisher : Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/fmj.v5i2.548

Abstract

Infark miokard akut yaitu jaringan miokard yang mengalami kerusakan dengan tiba-tiba akibat iskemia berat. Kondisi ini dikarenakan minimnya aliran darah ke jantung karena penyempitan signifikan arteri koroner akibat penyumbatan total oleh trombus atau emboli. ST Elevation Myocardial Infarction (STEMI) atau infark miokard akut melalui elevasi segmen ST termasuk dalam kelompok sindrom koroner akut (SKA), bersama dengan angina pektoris tidak stabil dan infark miokard tanpa elevasi segmen ST (NSTEMI). Penegakan diagnosis STEMI didasarkan pada riwayat nyeri dada yang khas serta hasil pemeriksaan elektrokardiogram (EKG) menjelaskan adanya elevasi segmen ST lebih dari 2 mm pada setidaknya dua sadapan prekordial terdekat, ataupun melebihi 1 mm dalam dua sadapan ekstremitas. Meningkatnya kadar enzim jantung, khususnya troponin T, juga bisa menguatkan diagnosis. Kombinasi nyeri dada substernal yang berlangsung selama 30 menit lebih dengan keringat berlebih merupakan indikasi kuat adanya STEMI.
Literatur Review Efektivitas Penggunaan Streptokinase Pada Pasien Infark Miokard Akut Musdalifa; Wisudawan; Purwati Pole Rio
NERSMID : Jurnal Keperawatan dan Kebidanan Vol. 9 No. 1 (2026): Mei Dalam Proses
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55173/nersmid.v9i1.276

Abstract

Acute myocardial infarction (AMI) is a leading cause of death from ischemic heart disease, characterized by sudden blockage of the coronary arteries. One of the main therapies to treat this blockage is the administration of streptokinase, a thrombolytic agent that functions to dissolve blood clots. This paper aims to assess the effectiveness of streptokinase use in patients with AMI through a literature review of various international and national clinical studies. The method used is a literature review with descriptive analysis of relevant research results. The study results indicate that early administration of streptokinase can reduce mortality and improve patient prognosis, despite the risk of allergic reactions and lower efficacy compared to newer generation thrombolytics. However, due to its widespread availability and lower cost, streptokinase remains the primary treatment of choice in many developing countries.
Co-Authors Akina Maulidhany Tahir Munawara, Sobria Munawara Musdalifa Purwati Pole Rio